秘鲁心力衰竭入院的全国趋势：2018年至2023年地区和人口差异的见解

IF 3 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Current Problems in Cardiology Pub Date : 2025-01-17 DOI:10.1016/j.cpcardiol.2025.102985

Carlos Diaz-Arocutipa MD , Rafael Salguero-Bodes MD , Víctor Juárez MD , Roberto Martín-Asenjo MD , German Valenzuela-Rodriguez MD, PhD , Javier Torres-Valencia MD , Patricia Ríos-Navarro MD , Marcos Pariona MD , Lourdes Vicent MD, PhD

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引用次数: 0

摘要

背景：心力衰竭（HF）是一个重大的公共卫生挑战，特别是在低收入和中等收入国家，那里的人口变化和医疗保健差异影响疾病模式。本研究旨在分析2018年至2023年秘鲁HF入院趋势。方法：我们对来自国家卫生监督局（SUSALUD）的≥20岁患者的急诊科发病率记录进行了二次数据分析。使用ICD-10代码识别HF入院。采用直接法估计每10万人中年龄调整的标准化HF入院率。使用泊松回归模型估计年度百分比变化及其95%置信区间（CI）。结果：总共有38,931例HF入院记录，大多数患者年龄≥60岁（69.2%），51.2%为男性。心衰入院总年增长率为2.78% (95% CI 0.95% - 4.65%)，男性为2.92% (95% CI 1.13% - 4.74%)，女性为2.57% （95% CI 0.45% - 4.73%）。区域差异很明显，亚马逊地区的发病率最高。HF入院人数在2020年有所下降，随后几年出现反弹。结论：2018年至2023年，秘鲁HF入院人数有所增加，性别和地区差异显著。这些发现强调需要采取有针对性的干预措施，以解决心力衰竭负担的区域和人口差异。

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National trends in heart failure admissions in Peru: Insights on regional and demographic disparities from 2018 to 2023

Background

Heart failure (HF) represents a significant public health challenge, particularly in low- and middle-income countries, where demographic shifts and healthcare disparities influence disease patterns. This study aimed to analyze trends in HF admissions across Peru from 2018 to 2023.

Methods

We conducted a secondary data analysis of emergency department morbidity records of patients aged ≥20 years registered in the National Superintendence of Health (SUSALUD) database. HF admissions were identified using ICD-10 codes. Age-adjusted standardized HF admission rates per 100,000 persons were estimated using the direct method. Annual percentage changes with their 95% confidence intervals (CI) were estimated using Poisson regression models.

Results

In total, 38,931 HF admissions were recorded, with the majority occurring in patients aged ≥60 years (69.2%), and 51.2% of cases were men. HF admissions showed an overall annual growth rate of 2.78% (95% CI 0.95% - 4.65%), 2.92% (95% CI 1.13% - 4.74%) for men, and 2.57% (95% CI 0.45% - 4.73%) for women. Regional disparities were evident, with the highest rates observed in the Amazon region. HF admissions declined during 2020, followed by a rebound in subsequent years.

Conclusion

HF admissions in Peru increased from 2018 to 2023, with notable disparities by sex and region. These findings underscore the need for targeted interventions to address regional and demographic variations in HF burden.

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来源期刊

Current Problems in Cardiology 医学-心血管系统

CiteScore

4.80

自引率

2.40%

发文量

392

审稿时长

6 days

期刊介绍： Under the editorial leadership of noted cardiologist Dr. Hector O. Ventura, Current Problems in Cardiology provides focused, comprehensive coverage of important clinical topics in cardiology. Each monthly issues, addresses a selected clinical problem or condition, including pathophysiology, invasive and noninvasive diagnosis, drug therapy, surgical management, and rehabilitation; or explores the clinical applications of a diagnostic modality or a particular category of drugs. Critical commentary from the distinguished editorial board accompanies each monograph, providing readers with additional insights. An extensive bibliography in each issue saves hours of library research.